This Form cannot be submitted until the missing fields (labelled below in red) have been filled in

2016 SBW Summer Camp Registration Form

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name*

E-Mail Address*

Street Address*

City*

State/Prov*

Zip/Postal Code*

Home Phone*

Student's Name*

Grade*

School

Please list ADA Accommodations needed

Please check the week(s) you wish to participate:*

June 20th - June 24th - Multi Media Art Camp Grades K-5

June 27th - July 1st - MusicFirst PreK Camp Ages 3-5 yrs

July 11th - July 15th - Dance Pop Fusion Camp Grades K-5

July 18th - July 22nd - Musical Theater Grades K-5

Transportation To and From Camp*

Total Registration Fees

Payments due the Friday before each camp week starts

Check

Cash

Online

CC

Statement of Understanding*

By checking this box I accept and understand that these are 4 weeks of OPMI Summer camp (Mon-Fri) beginning June 20th. Musical Theater camps are from 9:00am-3:00pm, Dance Fusion is from 9:00-3:00pm and Music First Prek is from 9:00-12:00pm. Any portion of the camp that my child cannot attend shall be forfeited without refund or credit. I also understand that I am responsible for picking up my child from camp on time. If I am more than 10 minutes late, I accept and understand that fees will be applied.